Matthew Joseph Enna, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A100628 Issued in CA

Practice address

9033 Wilshire Blvd
Suite 403
Beverly Hills, CA 90211-1837

Phone

(310) 858-3880

Fax

(888) 589-6241

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic SurgeryAlso: Hand Surgery, Sports Medicine

Education

Tulane University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Bone and Joint ClinicGroup PAC ID 4789842972, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFDFDD/Endpoint/GFDFDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden State Bone and Joint Clinic

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
  • NPI 1508139957
  Medicare reassignment Care Compare group NPD Authorized official
• Buena Vista Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Manhattan Beach, CA
  • NPI 1386186781
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1396797809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "SUITE 403",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-858-3880",
            "fax_number": "888-589-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD",
            "address_2": "SUITE 403",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111837",
            "telephone_number": "310-858-3880",
            "fax_number": "888-589-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNA",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A100628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE TAX ID#",
            "identifier": "45-2457553",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pedram James Enayati, M.D.
• Endoscopy Center of Beverly Hills LLC
• Endoscopy Specialists LLC
• Jonathan Mark Engel, DDS
• Alan David Engelberg, MD
• Abilene Alhambra Enriquez, M.D.
• ENT Senior Care Services Inc.
• Entertainment Medical Group Inc
• Eos Wellness Surgery Center LLC
• Freddie Mitchell Ephraim, MASSAGE THERAPIST

• Orthopaedic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.